Corrections to: The Trauma Golden Hour

Nasr, Adonis; Tomasich, Flávio Daniel Saavedra; Collaço, Iwan Augusto; Abreu, Phillipe; Namias, Nicholas; Marttos, Antonio

doi:10.1007/978-3-030-26443-7_43

Cited by 8 publications

(12 citation statements)

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“…Owing to urbanization and economic development, the majority of the young people in rural regions migrate to urban regions, leaving the older adults alone (empty nests). Consequently, there is a lack of timely assistance when injuries from falls occur [ 25 ]. Meanwhile, as the older adults are typically eager to spend time with family, the absence of care will eventually lead to psychological illness, which might be another potential risk factor.…”

Section: Discussionmentioning

confidence: 99%

“…Meanwhile, as the older adults are typically eager to spend time with family, the absence of care will eventually lead to psychological illness, which might be another potential risk factor. The complexity of the terrain and poor public transportation, particularly in mountainous areas, increases the risk of falls among older adults, and the shortage of medical aid supplies or inefficient use of available resources prevents the older adults injured in falls from receiving timely and effective treatment [ 25 ], frequently increasing the possibility of death. Therefore, the government should allocate more funds to alleviate the environmental issues and lack of medical resources resulting from economic backwardness, improve medical technology to treat older adults’ illness more effectively, and pay more attention to older adults’ psychological health with more public welfare activities to bring comfort in their loneliness.…”

Section: Discussionmentioning

confidence: 99%

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Trends in Cause-Specific Injury Mortality in China in 2005-2019: Longitudinal Observational Study

Zhang¹,

Ji²,

Wu³

et al. 2023

JMIR Public Health Surveill

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Background Over the last few decades, although the age-standardized mortality rate (ASMR) of injury has shown a significant declining trend in China, this pattern has dramatically reversed recently. Objective We aimed to elucidate the geographical, demographic, and temporal trends of cause-specific injuries, the reversal phenomenon of these trends, and the fluctuations of injury burden from 2005 to 2019 in China. Methods A longitudinal observational study was performed using the raw data of injury deaths in the National Cause-of-Death surveillance data provided by the disease surveillance points system in 2005-2019. The cause-specific injuries were divided into disparate subgroups by sex, age, urban/rural region, and eastern/central/western areas of China. The burden of injury was assessed using potential years of life lost (PYLL), average years of life lost (AYLL), and PYLL rate (PYLLR). Temporal trends of mortality rates and burden were evaluated using best-fitting joinpoint models. Results Injury deaths accounted for 7.51% (1,156,504/15,403,835) of all-cause deaths in China in 2005-2019. The crude mortality rate of all-cause injury was 47.74 per 100,000 persons. The top 3 injury types (traffic accident, falls, and suicide) accounted for 70.57% (816,145/1,156,504) of all injury-related deaths. The ASMR of all-cause injury decreased (P=.003), while the crude mortality rate remained unchanged (P=.52) during 2005-2019. A significant reverse trend in ASMR of all-cause injury was observed in urban older adults since 2013, mainly due to the inverted trend in injuries from falls. A reverse trend in ASMR of suicide was observed among individuals aged 10-24 years, with notable increases by 35.18% (annual percentage change 15.4%, 95% CI 4.1%-28.0%) in men since 2017. The AYLL and PYLLR of all-cause injury among older adults showed consistent ascending trends from 2005 to 2019 (average annual percentage change [AAPC] 6.1%, 95% CI 5.4%-6.9%, 129.04% increase for AYLL; AAPC 5.4%, 95% CI 2.4%-8.4%, 105.52% increase for PYLLR). The AYLL due to suicide for individuals aged 10-24 years showed a considerable upswing tendency (AAPC 0.5%, 95% CI 0.4%-0.7%, 8.02% increase). Conclusions Although the ASMR of all-cause injury decreased in China from 2005 to 2019, the trend in suicide among adolescents and young adults and falls among older adults has been on the rise in recent years. Interventions should be encouraged to mitigate the cause-specific burdens of injury death.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Trends in Cause-Specific Injury Mortality in China in 2005-2019: Longitudinal Observational Study

Zhang¹,

Ji²,

Wu³

et al. 2023

JMIR Public Health Surveill

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“…We defined timely access to care as ability to reach a designated trauma center within 60 minutes via GEMS or HEMS. Sixty minutes was used because the first hour after traumatic injury, referred to as the “golden hour,” is a crucial period of care postinjury, often involving rapid assessment, resuscitation, and hemorrhage control in trauma centers 29–31 . We further classified access based upon level of trauma center designation, either levels I and II or levels I to V.…”

Section: Methodsmentioning

confidence: 99%

Access to trauma center care: A statewide system-based approach

Medrano¹,

Villarreal²,

Price³

et al. 2023

J Trauma Acute Care Surg

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BACKGROUND Timely access to specialized trauma care is a vital element in patient outcome after severe and critical injury requiring the skills of trauma teams in levels I and II trauma centers to avoid preventable mortality. We used system-based models to estimate timely access to care. METHODS Trauma system models consisted of ground emergency medical services, helicopter emergency medical services, and designated levels I to V trauma centers were constructed for five states. These models incorporated geographic information systems along with traffic data and census block group data to estimate population access to trauma care within the “golden hour.” Trauma systems were further analyzed to identify the optimal location for an additional level I or II trauma center that would provide the greatest increase in access. RESULTS The population of the states studied totaled 23 million people, of which 20 million (87%) had access to a level I or II trauma center within 60 minutes. Statewide-specific access ranged from 60% to 100%. Including levels III to V trauma centers, access within 60 minutes increased to 22 million (96%), ranging from 95% to 100%. The addition of a levels I and II trauma center in an optimized location in each state would provide timely access to a higher trauma capability for an additional 1.1 million, increasing total access to approximately 21.1 million people (92%). CONCLUSION This analysis demonstrates that nearly universal access to trauma care is present in these states when including levels I to V trauma centers. However, concerning gaps remain in timely access to levels I and II trauma centers. This study provides an approach to determine more robust statewide estimates of access to care. It highlights the need for a national trauma system, one in which all components of state-managed trauma systems are assembled in a national data set to accurately identify gaps in care. LEVEL OF EVIDENCE Therapeutic/Care Management; Level IV.

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“…Accordingly, early resuscitation and definitive care are recommended within 60 minutes. 2 However, this is not widely practiced in many low and middle-income countries (LMICs) due to lack of resources and poor infrastructure. 3 People with emergency conditions are more likely to die.…”

Section: Introductionmentioning

confidence: 99%

Insufficient Supply, Diagnostic Services, and Lack of Trained Personnel in Primary Hospitals in North-West Ethiopia Worsened Trauma Care: A Mixed-Method Study

Denu

Yassin

Azale

et al. 2022

Disaster med. public health prep.

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Objective: Although there has been a massive expansion of hospitals in Ethiopia in the last 2 decades, most are primary-level hospitals. Assessing the capability of the hospitals in managing trauma victims is essential to strengthening the hospitals. Methods: We employed a mixed-method approach using quantitative descriptive design triangulated with qualitative research. We audited 10 hospitals using WHO essential trauma care checklist. We interviewed 37 health care professionals, 9 hospital managers, and 12 decision-makers using a semi-structured interview guide. We used the COREQ checklist to report the qualitative finding. Results: The physical structures of the hospitals were good in all cases. Airway, breathing and circulation management were partially available, with a score ranging from 0 - 3. The extent of injury, lack of radiology service, and scarcity of drugs and supplies were common causes for the referral of trauma victims to Gondar University hospital. Conclusion and recommendation: Unavailability of drugs and supplies, lack of diagnostic services, inability to recruit specialist professionals, lack of training, and inconvenient working and living environment were stated as the main barriers to providing trauma care. In the study area, the gaps in trauma care in the primary hospitals can be improved by further commitment of the hospitals, the district, zonal administrators, and the regional health bureau.

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Corrections to: The Trauma Golden Hour

Cited by 8 publications

References 0 publications

Trends in Cause-Specific Injury Mortality in China in 2005-2019: Longitudinal Observational Study

Trends in Cause-Specific Injury Mortality in China in 2005-2019: Longitudinal Observational Study

Access to trauma center care: A statewide system-based approach

Insufficient Supply, Diagnostic Services, and Lack of Trained Personnel in Primary Hospitals in North-West Ethiopia Worsened Trauma Care: A Mixed-Method Study

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